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Mom and Dad are each other's POAs on both Health and Durable POA documents. Mom is in hospital for falling and is now diagnosed with severe dementia. I'm next on both my parents POA's.


I need to place both of them in Memory Care once Mom is discharged in a couple of days. (Dad is showing signs of dementia at his last doc appt and not wanting to make decisions). My question... How do I become the next decision maker as listed on POA?

Not a lawyer - but have experience here. If the legal POA documents name you as next in line for POA, then you are already most of the way there to becoming successor POA. A competent person can legally resign their POA status at any time, and the job of POA flows to the next named successor POA. But, they must resign in writing. Since it is possible that neither of your parents are competent, you may need to pursue the alternative legal way of assuming successor POA. That means you will need at least one, and preferably two, of their attending doctors to write a letter attesting to your parents inability to serve as POA for the other. You will need a separate letter for each - don’t try to combine both. A signed, and notarized letter to that effect is better than just a signed letter. Some institutions will not honor a letter that is not notarized. Consult with the doctors to get this going. If he is still with it enough to understand, your Dad can resign as your mother’s POA. Again, have a notary lined up to witness. If he is not with it enough, you will need to take him to a neurologist for an opinion as to whether his executive decision making ability has deteriorated such that he cannot serve as your mother’s POA or make good decisions for his own affairs. I had my Dad sign over POA over my mother while he was in rehab for a broken hip. We did not know if he would recover, and he was competent enough to understand that he could not manage her affairs never mind his own. You must be named as next in line to assume the role of POA. Don’t delay on this - it is time sensitive. If you have any questions, consult a lawyer.
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Reply to jemfleming
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You should get legal help from a law firm to have both POAs changed. Having to do this with my wife’s alzheimer’s issues.
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Reply to RoadAngel
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Have doctor for each parent evaluate for mental competency. If deemed mentally incompetent, have doctor make notes in their records to that effect - also get statement from doctor on his/her stationary that says the same. Use these documents to show (along with POA paperwork) that you are the POA.
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Reply to Taarna
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1. Hire an Attorney.
2. Have a mental capacity test done on your parents. Some trust need two doctors to confirm their status.
3. Once above items are done Attorney will write up new changes of POA & POA OF MEDICAL.
4. Bring papers to banks , doctors office,medicare office & social security office. Have plenty of copies for any and all business and financial companies that they have business with , because they will not talk or do any business with you for them until you do.
5. At that time you can start looking for an assisted living situation for your parents. You might consider a place where your Dad could still be in assisted living with extra help and be able to come and go in the memory section to visit your Mom until the time he needs that extra assistance.
6. You have a lot on your plate you might even consider a fiduciary that will be able to help you with all the financial needs and record keeping necessary and sale of home or property.
Good luck being the best adult child with putting your parents first and with dignity and love and respect.
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Reply to Jennytrying
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In most of these PofA's, it will probably state...If So-and-So is unable or unwilling to serve, then So,So,So will serve in his/her place....so you really don't need to do anything as far as the POA goes. Just start locating the facility to see which one will take them.
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Reply to Evonne1954
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Contact an attorney ASAP.
I do not understand why a person with severe dementia is 'still' legally handling another's legal documents.
You need more than being a POA.
You need to change all bank / investment records. Everything.

Gena / Touch Matters
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Reply to TouchMatters
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Emc1026: Retain an attorney.
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Reply to Llamalover47
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I suggest hiring an elder law attorney. It sounds like it is time to go beyond the POA, and get both Guardianship and Conservatorship. Once this is done you will have full power to do what is in both of their best interest, and that of yours too, God Speed.
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Reply to bgblck69
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As secondary, you may need a lawyer to invoke your POAs proving that both parents arebnow invompetent to hold POAs. In my State you don't need to gile POAs or go to court to prove incompetence.
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Reply to JoAnn29
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Emc, that does sound like he would also qualify for Memory Care. Have you chosen a facility yet? If not, I wonder if it would help or hurt for your dad to participate in choosing one.

On the POA question, again go back to the language which should be based on state law, regarding what documentation is required to activate your POA. Your mother's doctor(s) can do a statement that she is not competent for herself, and also not competent to serve for your father. Your father's doctor(s) can do the same. Then both would pass to you.

It's a complicated situation and I'm sorry you're in it. But they showed good foresight in getting POAs set up, and in including you as the successor.
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Reply to MG8522
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I have a letter from Mom's attending doctor stating her dementia is severe and lacks capacity to make decisions etc. She's been in the hospital for 8 days now. From the EMT who helped her when she fell out of bed to many professionals this week; Dad is throwing red flags everywhere showing signs of dementia as well. The hospital has noted she cannot be released to go home with Dad due to his confusion and behavior that has been noted by Mom's docs and nurses. These professionals have also sent referrals to APS. Since Dad is not the patient at the hospital; they said they cannot give him an evaluation. I took him to the doc on Friday for assessment. He failed the initial cognitive test. (It was a new doc who had never met him, as his doc left the practice.) Bloodwork is being done and a followup appointment. He's been getting lost a lot. Asking known family members who they are, after having a knowing conversation with them 20 minutes prior. Dad admitted he should no longer drive and liked the idea of sharing a room with Mom in a memory care where they can be safe and stress free. Today he flipped the script; rejected the idea; said he was staying home and taking Mom home from the hospital and would get the courts involved if necessary. I need to make the safest decision for both of them once I have the clear POA to do so.
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Reply to Emc1026
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Isthisrealyreal Mar 17, 2025
So dad has far more issues and the hospital staff has notified APS, that is a good thing.

This action will fast track you getting control for mom and quite possibly dad.

Let him involve the courts. He will either present as an able, cognitive adult or he will be deemed incompetent to carry out self care and care of your mom. This would give you much authority to help them.

Just so you know, some seniors are bound and determined to go the hard way. Your dad's flip flopping makes me think he is one. This type of change is hard and the many losses that come with it are hard. Patience and understanding will be tough as you go through this but, they will benefit all of you.

Prayers that dad's need assessment, which can and should be done by the facility, will help you know what you're dealing with and get them both the care that is appropriate.
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Just a heads up, from your description of dad's problems, he is no where near needing memory care. An honest needs assessment will help you know what level of care he needs, what they both need. I have never seen a facility allow the client to decide what level of care they need.

Unless your dad willingly goes into a facility, your POA is pretty useless. No facility wants to accommodate a senior that has capacity and doesn't want to be there, period. It is beyond disruptive to the facility, staff and residents alike.

A POA does not override anyone's autonomy without solid, undeniable medical proof that the person lacks capacity to operate safely and multiple doctors verify this, then only a Judge can actually declare a person incompetent and take away their rights. Which is a good thing when you consider the harm that can be done with taking away someone's rights.

Could it be that your dad is burned out taking care of his wife and doesn't want to feel like he put her away? Might you just be the owner of that decision, for both their sakes? He might recover if the stress is removed and he sees that mom is cared for and he can go back to just being her spouse and advocate.

Caregiving eats young people alive, I can not imagine how much harder it is when it is your spouse and you "ain't no spring chicken."

Best of luck finding and implementing the right level of care for both your parents.
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Reply to Isthisrealyreal
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As you seem not really to be knowledgeable at all about POA I am going to suggest an attorney. Don't worry! It's where we all start out, mired in anxiety and clueless as to what to do.

The POA paper itself says how if can be implemented (usually a letter of diagnosis from two MDs, one a neuro-psyc.
However, THAT IS ONLY THE BEGINNING.

Seeing an attorney for expert counsel and advice is part of being a POA and is paid for by your parents funds.
You need to learn ALL your rights and obligations.
Start with online looking up POA for your state.
Each entity you deal with, whether gas and electric co. or IRS or SS or Bank is going to want you to jump into and through their own hoops. You must keep a diary and meticulous records of every penny into and out of parents accounts after learning all about their assets.

Do know that IRS, SS, Medicare and Medicaid do not accept POA, and requires separate designations if you need them, but you may not if the mail gets changed to your address and the SS checks get sent to the same accounts. The account you will have control over; that's the important thing. You will need to know how to be named signee, even how to sign.

Getting them into care will be simple.
The other stuff is very difficult.
I wish you luck. See an attorney after doing your own internet research for your own state, and best of luck.
You can do this. It was where I started five years ago this coming May, with my entry here on Aging Care Forum. I started out CLUELESS and have learned a lot. A book full of stuff, but as you might guess, it's too long to write here.

Most of all let me assure you that after a year everything will be in place and running smoothly and all set up. It's that first year that's a kicker!
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Reply to AlvaDeer
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You need to read the PoA document to see what triggers the authority (usually it's 1 formal medical diagnosis of impairment). Get the diagnosis for each of them (separately) on the clinic letterhead and signed by their diagnosing doctor. Then you need to have the PoA and the letter with you everywhere you go on their behalf.
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Reply to Geaton777
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You can check what the POA documents says and if necessary, what the state law says. Probably you need a statement from one or possibly two doctors saying that she is not competent. Some doctors are reluctant to sign because they are afraid of getting into a legal matter but geriatric doctors are used to this so if one refuses, check with another.

Are you planning to move your mother home, and then to Memory Care? If possible, it will be easier to have a medical transport take her directly from the hospital to the facility rather than home, where she and your Dad might fight against moving.
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Reply to MG8522
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